DR. TIMOTHY PANCIOLI DO
NPI 1285161315
Pathology - Blood Banking & Transfusion Medicine in Grand Rapids, MI

Active since May 19, 2017PECOS Enrolled
1036 FULLER AVE NE, GRAND RAPIDS, MI 49503(248) 898-5000 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2021, May 19, 2017 (2 updates tracked since 2017).

About Dr. Timothy Pancioli Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY PANCIOLI DO (NPI 1285161315) is an individual blood banking & transfusion medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101025981) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285161315
Entity TypeIndividualMale
Primary Taxonomy207ZB0001X
Provider Legal NameDR. TIMOTHY PANCIOLICredential: DO
Location Address1036 FULLER AVE NEGrand Rapids, MI 49503-1304
Mailing Address230 Hawk Chase CtGrand Rapids, MI 49525-3305 · (248) 255-1076
Sole ProprietorNo
Enumeration DateMay 19, 2017
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
NPI 1285161315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Blood Banking & Transfusion MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZB0001X
License Licensed in MI · 5101025981
Definition
A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 5101023083 (MI)
1036 FULLER AVE NE, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy Pancioli Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Blood Banking & Transfusion Medicine)
1036 FULLER AVE NE
GRAND RAPIDS, MI 49503
Clinical Medical Laboratory
1036 FULLER AVE NE
GRAND RAPIDS, MI 49503
Pathology (Blood Banking & Transfusion Medicine)
1036 FULLER AVE NE
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Pancioli's NPI number?

The NPI number for Timothy Pancioli is 1285161315. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Timothy Pancioli located?

Timothy Pancioli practices at 1036 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (248) 898-5000.

What is Timothy Pancioli's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Blood Banking & Transfusion Medicine, with taxonomy code 207ZB0001X.

Is Timothy Pancioli enrolled in Medicare?

Yes. Timothy Pancioli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Pancioli was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.